Individual
DR. ERNEST TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
215 E SECOND ST, BEARDSTOWN, IL 62618-1222
(217) 323-3116
(217) 323-3711
Mailing address
215 E SECOND ST, BEARDSTOWN, IL 62618-1222
(217) 323-3116
(217) 323-3711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0038008378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000921966
BCBS
IL
Enumeration date
12/27/2006
Last updated
07/08/2007
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